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妊娠糖尿病女性与妊娠非糖尿病女性的脉络膜中央厚度比较

Comparison Between Central Choroidal Thickness in Pregnant Diabetic Females and Pregnant Non-Diabetic Females.

作者信息

Shalaby Hisham Samy, ElSebaay Marwa Ebrahim, Samy Mohamed Mahmoud

机构信息

Department of Ophthalmology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

出版信息

Clin Ophthalmol. 2021 Jan 12;15:105-111. doi: 10.2147/OPTH.S289514. eCollection 2021.

Abstract

OBJECTIVE

To compare choroidal thickness in pregnant women with and without diabetes mellitus (DM).

METHODS

Sixty pregnant females (60 eyes) were enrolled in this cross-sectional controlled study. They were divided into two groups: Group A (30 patients; 30 eyes) were pregestational diabetic pregnant females, while Group B (30 patients; 30 eyes) were non-diabetic pregnant females. Exclusion criteria were high-risk pregnancy, diabetic retinopathy in Group A subjects, systemic or ophthalmological pathology, drug intake other than vitamin supplements and diabetic medications, and large errors of refraction. All patients underwent full ophthalmological examination and enhanced depth imaging optical coherence tomography (EDI-OCT) to measure the choroidal thickness in the nine zones of the Early Treatment Diabetic Retinopathy Study (ETDRS) map.

RESULTS

Our results show that Group A eyes (of pregnant diabetic females) had a highly significant greater choroidal thickness than Group B eyes (of pregnant non-diabetic females) in all nine zones of the ETDRS map (p-value <0.01). Moreover, we found a positive linear correlation between the duration of DM and the degree of choroidal thickening.

CONCLUSION

Pregnant diabetic females have a thicker choroid than that of pregnant non-diabetic females.

摘要

目的

比较患有和未患有糖尿病(DM)的孕妇的脉络膜厚度。

方法

本横断面对照研究纳入了60名怀孕女性(60只眼)。她们被分为两组:A组(30例患者;30只眼)为孕前糖尿病孕妇,而B组(30例患者;30只眼)为非糖尿病孕妇。排除标准为高危妊娠、A组受试者的糖尿病视网膜病变、全身或眼科疾病、除维生素补充剂和糖尿病药物外的药物摄入以及较大的屈光误差。所有患者均接受了全面的眼科检查和增强深度成像光学相干断层扫描(EDI-OCT),以测量糖尿病视网膜病变早期治疗研究(ETDRS)地图九个区域的脉络膜厚度。

结果

我们的结果显示,在ETDRS地图的所有九个区域中,A组(糖尿病孕妇的眼睛)的脉络膜厚度比B组(非糖尿病孕妇的眼睛)显著更厚(p值<0.01)。此外,我们发现糖尿病病程与脉络膜增厚程度之间存在正线性相关性。

结论

糖尿病孕妇的脉络膜比非糖尿病孕妇的脉络膜更厚。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4666/7811481/84fbb6a538dd/OPTH-15-105-g0001.jpg

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